YOU have to change the discussion points from the lazy and incompetent 'model of care' to 'model of results'
https://www.thecourier.co.uk/fp/news/local/angus-mearns/530318/angus-health-facilities-under-threat/
More health facilities in Angus are under threat of closure as a major review of inpatient services is under way.
Wards at Arbroath Infirmary, Montrose Infirmary, Stracathro Hospital
and Whitehills Health and Community Care Centre as well as Brechin
Infirmary – which has not been operational since October 2015 – are
being assessed in the review.
The inpatient wards cover medicine for the elderly, psychiatry of old age, palliative care and stroke rehabilitation.
Health chiefs are assessing a variety of services as they seek to
develop a new “Angus Care Model” with minor injury units and out of
hours services also being examined.
A final report providing options and costs for a new model of care,
as well as feedback from public engagement events, will be considered by
the Angus Integration Joint Board in January.
The review is being carried out by the Angus Health and Social Care
Partnership which is the body responsible for delivering the services in
Angus.
An update to NHS staff, seen by The Courier, says there are a “range
of challenges” in providing inpatient care under the current operating
model.
Staffing challenges, an ageing workforce and an inefficient number of
beds at each location were highlighted in the internal document.
It states: “Each of our inpatient sites operate with a relatively small bed base of nine to 22 beds.
“This impacts on efficiency and is vulnerable to short-term staffing
challenges in terms of recruiting and retaining an appropriate
workforce.
“The review into inpatient care services aims to ensure that future
inpatient facilities and model of care meet the changing health care
needs of the people of Angus.”
An audit of the number of occupied beds was carried out on a day last
month and it found that 77 people were in an Angus hospital bed,
leaving 39 beds empty.
The document states: “Data from the past year show us that this is a
typical level of occupancy. On average 37 beds are unoccupied each day
across Angus.
“The audit team considered that 49/77 patients could have benefitted
from community intervention earlier in their patient journey, had
appropriate services been available, which may have avoided the need for
a hospital admission.”
The report also noted a high proportion of the nurses working at the
Angus wards could retire over the next few years. 44% of the nurses
working as part of inpatient services are aged over 50.
Angus Health and Social Care Partnership admitted its review would
result in changes to the number of inpatient beds and facilities in the
county.
A spokesperson said changes are required across a “range of service areas” in Angus.
The Partnership’s strategic plan aims to provide services that have a
much greater emphasis on prevention, early intervention,
self-management, supporting people in their own homes and communities
and less unnecessary use of hospitals and care homes.
The spokesperson said the inpatient care review would examine their
resources to make sure they are “configured” in the right way to meet
future needs as it develops a new model of care.
“Information to date suggests we are already doing well with more
than 90% of older people’s care being delivered in the community but
there is still more to do for the whole adult population,” she said.
“We need to carry out this review because we face a number of challenges in delivering sustainable services.
“We have an ageing workforce and there are national shortages of health care staff which we must plan for.
“The facilities we deliver our services from must be able to support the delivery of modern health care.
“More people need support in our communities, including carers, and
we have more inpatient beds than we need, with up to 35 inpatient beds
per day in Angus not being required.
“Of course we must also ensure that we are using our resources in the
most effective way and getting best value for our financial resources.”
Last week a series of drop-in information events were held in Angus for people to express their views.
These will be considered when a report on a new model of care is considered by the Angus Integration Joint Board in January.
“Bringing all of these developments together gives us a real
opportunity to develop better local integrated services and to create an
Angus Care Model,” the spokesperson continued.
“Changes are required across a range of service areas. Although this
will result in changes to the number of inpatient beds and facilities in
Angus, it will enable us to provide more integrated care in communities
locally and this is what people tell us they want.”
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Monday, October 23, 2017
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